This is for my mother , She is 61 yrs old having pain in right foot medial side, Pain location is ahead of tarsal bones on medial side of foot.
After standing for few mins, there is pain and swelling in that particular area which is localised pain.
She has Grade 2or 3 OA right knee with joint space reduced visibly on medial side and while walking the medial arch of foot is flattend and is unable to walk for longer times.
Pain subsides once she starts walking but cant walk or stand for even 5 mins continous.
Orthopaedics has suggested for TKR but there is no knee pain, pain n swelling is just on medial side of foot.
She is using the arch support with shoes and treating the swelling with cold therapy
Can physiotherapy be helpful in this?
Answers (8)
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Chiropractic adjustment will help.
Standing calf stretch
Stand away from a wall and.put your fight foot behind you and be sure your toes are facing forward. Lean forward at the ankle while bending the right knee and keeping your heel on the ground. Hold this for 30 to 60 seconds. Repeat 10 times a twice a day.
Downward dog yoga stretch
Get down on all fours with your hands under your shoulders on the floor. Walk your hands forward slightly on the floor. Spread your fingers apart to allow for a broad base of support. Push your hips up toward the ceiling and tighten your abdominal muscles. Keep your heels on the ground and gently try and straighten your knees. Repeat 10 times a twice a day.
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Your explanation is good but still need some more details.Answering to your question definitely physiotherapy has prime role to play.My suggestions
1.Get x ray done for medial pain site.
2.Manipulation of that joint can be done also focus on the OA knee coz this may be the bio mechanical compensation of OA knee pain.
3.I prefer taping support instead of silicon insoles/Other footwear modification.
4.Dry needling may also be helpful
Next Steps
Consult a musculoskeletal physiotherapist
Health Tips
Hot water/ice pack can be done.Avoid standing for long time.Concentrate on her footwear.
Hi Dear,
The way you explained,I believe you are a medico. I believe she's having pain in feet because of OA itself and if I'm right she might have bow knees which itself put pressure on feet.
Next Steps
I suggest work on OA of knees and strengthen her knee muscles and foot muscles. release the tension from plantar fascia.
Health Tips
arch support and cryotherapy are good option. you can think for dry needling to release the tightness from muscles.
She needs to be evaluated. So pls consult a Physiotherapist. Also the footwear makes a difference.she needs to have a proper footwear with proper weight bearing. In most of cases good quality sports shoes is most effective . In some cases some exercises are helpful .
In Grade 3 Osteoarthritis knee , navicular drop is common due to change in weight bearing forces , proper assessment by Physiotherapist and footwear will help
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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